Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $15.73 / $150.00	Facility		$15.73	$15.73	$150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $19.00 / $24.60	Professional		$15.73	$19.00	$24.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $21.75	Professional		$20.00	$20.00	$21.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.17 / $56.87	Professional		$20.42	$30.17	$56.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.84 / $43.89	Professional		$19.00	$24.84	$43.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $180.95 / $185.58 / $274.35	Professional		$180.95	$185.58	$274.35
Optum Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $17.51 / $54.08	Professional		$17.51	$17.51	$54.08
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.87 / $75.77	Professional		$30.20	$41.87	$75.77